Samuel Kisner

NPI 1699399774 · on the registry since 2020 · sole proprietor

Practice

Address: 17325 Euclid Ave Ste 4103
Cleveland, OH 44112
Phone: (216) 232-5455
Organisation at this address: L & L Llc
Konnected
Caring Faces
Opulent Life
Vip Transit Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 190

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 251B00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio